Pseudoaneurysm of the thoracic aorta presenting as purulent pericarditis and pericardial effusion.
Report of a case of a mycotic pseudoaneurysm of the ascending thoracic aorta occurring in the absence of surgical or blunt trauma in a patient who presented with purulent pericarditis. Surgical pericardial drainage was required, which revealed Staphlococcal aureus. Subsequent transesophageal echocardiogram demonstrated a 4 cm x 4 cm pseudoaneurysm of the posterior wall of the aorta above the sinotubular junction. The patient refused surgical correction of the aortic pseudoaneurysm and was successfully managed with antibiotic therapy.
Aranda
J
J
Department of Internal Medicine, University of South Florida College of Medicine, Tampa, USA.
Tauth
J
J
Henning
R J
RJ
O'Hara
M
M
D017541:Aneurysm, False / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D000785:Aneurysm, Infected / Q000628:therapy*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D017548:Echocardiography, Transesophageal; D006801:Humans; D008297:Male; D008875:Middle Aged; D010490:Pericardial Effusion / Q000209:etiology*; D010493:Pericarditis / Q000209:etiology*; D013203:Staphylococcal Infections / Q000150:complications* / Q000175:diagnosis / Q000628:therapy